Skip to content
Signup
Greg
2022-03-29T03:15:11+11:00
Please enter your details
Name
(Required)
Date
(Required)
MM slash DD slash YYYY
Address
(Required)
Suburb
(Required)
Postcode
Email
(Required)
Mobile
(Required)
Phone (other)
How did you hear about us?
Website
Facebook
Instagram
Friends/Family
Google
Event
Ex-member
Location
External Signage
What's brought you here today?
(Required)
Ready to achieve my fitness goals
Other
What brought you here today?
What exercise are you currently doing?
(Required)
Weight Training
Running
Cycling
Swimming
Home Workouts
Group Fitness
Other
What other exercise you are doing?
What activities are you interested in doing here?
(Required)
Cardio
Strength
Classes
Personal Training
Do you have any known medical conditions or injuries that may make it dangerous for you to participate in physical activity/exercise?
(Required)
Yes
No
Please specify your medical condition
DECLARATION
In consideration of Plus Fitness and its associated entities (the Providers) agreeing to grant access to the Premises, I hereby undertake to indemnify the Providers against all claims, losses, suits and damages made against or suffered by the Providers, by reason of my decision to enter the Premises and use any facilities made available by the Providers. I understand that participation in fitness related activities can give rise to significant risks which include the risk of serious injury and/or death. In entering and utilising the Providers’ facilities and the Premises I warrant that I do so voluntarily and that I assume all risks associated with my entry and use of the Providers’ facilities and the Premises. I further warrant that I have read and am aware of the Providers’ Terms of Entry and agree to adhere to those terms. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless the Providers and agree not to make any claims with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the Providers or otherwise. By signing this declaration, I acknowledge and agree that representatives of the Providers may, from time to time, take photographs of activities within the Premises which may include me and that my image may be used in any social media marketing or in any other way the Providers deem appropriate. In the event that I do not wish for my image to be used by the Providers, I understand that I am required to provide notice in writing by emailing the Providers at info@plusfitness.com.au. I warrant that I have had sufficient opportunity to read this release of liability. I warrant that I fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement of any kind. I am aware that Plus Fitness undertakes various marketing activities from time-to-time and I provide my informed consent for Plus Fitness to use my personal information, as disclosed by me below, for any marketing purposes it wishes to undertake.
Signature
Page load link
Go to Top